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HomeMy WebLinkAbout021-100-034OR. X021 110``034 f`� 00 0488x, , i, t' fpAS MORE, Vern r' _ - - .. r i �k «__.2..1. 1..�._ .. - f "OLSON-i:' enn fere � -------=—.-------------------� -1406 S" Vermont St:'',�`Gr.idfey ._ i 54 1B6 _j ` Rei o00/ PT V , , s ,•� `fit r "� , , ?-- B n E �n/e cornerof Little & Oregon, Gri 'ley (brick veneer & sidiny��r�P i(*new siding) i (**conv . be d r - to livingg and rai se •foof over service porch)e��~�-=Q'' S BOUNDARY LINE MODIFICATION WAS: 022-100-029/031 ,�;.; NEW 022-100-034 °'1/28/0IFI 0 _t w f ri / I `F 1 • i i r 1 i I ' • I • 1 i . n� . �- --.r-- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Cafiforriia 95965 • Telephone (530) 538-7541 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT 0_104 9T. ASSESSOR PARCEL NUMBER ZONING BUILD G PERMIT O JENNIFER SO TELEPHONE 846-3306 SO, FT. OCC. BUILDING VALUATION 12@100 720.00 .OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAID CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 720.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � 5949 1406 S-17UMONT ST, GRIDLEY CAPERMIT Energy Plan Checking Fee $ FEE $ 41.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1RER00F Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V OR LE Main Service .0. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, em exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. stns. SO 3.5QFT: NEW MU E IDT LTI-OUTLET I@7.50 OWEPPARATUS 8 PSINGLER AOurLET CIR. Ex. Occu OUTLET OR FIXTURES 20 O 1.00 BAL @ .50 PPA Ex. Occup. DFlx�LEEo�.R OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wo ers' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply with a provisions. X O�'l�' Date �131N Signat a of Appli ani: - Owner ❑ Contractor ❑ Agent An OS permit is required for excavations over 5'0" deep and demolition or construction of str res over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE TOTAL FEE $. HAZ. D. FEES IMP FLOOD CD PARCEL PD' ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ^� Date (- PERMIT EXPIRES ON J �© Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit -has been applied for iri your name and bearing your signature. Please complete and return this information at your earliest oppo ty ..to.r .t avoid . unnecessary delay in processing and issuing your building permit. No building perinit:w l be issued until this verification is received. „ , 1. I personally plan to provide the major labor -and materials for construction 'bf-.th6 -:44. -proposed property improvement YES NO[ itzO _ 2. I HAVE J HAVE NOT[ ]signed .an:;apphcation for, bufidmg permit for the} TtRi-1`'111t i ^.t •t lY�^.� proposed o _ 3. I have contracted with the following •person (firm) :'to provide the propo ed . - _ - 4... construction: NAME: ADDRESS: ....... -- - - PHONE:._.. - --= : :__ '`-CONTRACTOR'S LICENSE NO.,__T.:_ 4. I• ' lan torovide' ortions of this wor - but I have' hired the followin ersonAtr P P P � • 8-`P o, coordinate, supervise, and provide the major work: .; NAME: ,. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will -provide some of the work but I have contracted (hired) the followi%+eisons to provide the work indicated: - -NAME ADDRESS PHONE TYPE OF WORK J SIGNED: PROPERTY SOCUL SECURITY NIMIBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party'd record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. . ' Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. 1. . If you plan to do your own work, ywith the ekceptron'of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection:`' 0 If you employ or otherwise engage any persons. other than your immediate family, and the`"&(including materials and other costs) is $300 or more for the entire project, and such persons are -not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance; disability insurance costs, and unerriployrnent'compensation contributions...._ . 0 There may be financial riskifor"you if you do notcarryout these obligations, and these. risksare'especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division„'of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder” building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their ov ii work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. %L fav 1995 2.27 (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California' 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCELNUMBEA f _ zGNING BUILDING PERMIT OWNER TELa►aNE SO. FT. OCC. BUILDING VALUATION OWNER, MA4Jlq CONTRACT'S NAME � � O� CDw r1�' C5 TELtRgN! CONTRACTOR'S MAJUNO ADDRESS CONSTRUCTION LENDER Fire lc, UENDEA•S MAILING ADDRESS Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 Permit Fee E r ARCHITECT OR ENOWEER9 MAILING ADDRESS Plan Checking Fee b BUIDWGADO sSEnergy Plan Checking Fee S s PERMIT FEE = .1 LOT NO. SUBDIVISION'S HAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex O Mobilehome 0 Other SPE -Coy Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition emodel 0 Utilities 0 Installation 0 Describe Work: Other 0 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Fling F e 20.00 Main Service 600.VOORR LLESS 23.00 Main Service 200A TO +000A 46.00 NEW CONST. OWELLM OCCUP. 3.5eSO OR ADONS. A ACC. BLOS. NO"UM MULTFOLITI.ET 0O 7.50 POVMOt APPAAATLS t 9WGlE O d0. EK. Occup. OUTLET OR IMMMES RAL ®I.S0 Ex. Occup.MD o °ITER 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fe 20.00 Heating Cooling Hood Ventilation PERMIT FE Mobile Home Installation Fee $ Q$, Energy Inspection Fee °"CONST. TYP£ TOTAL FNAZ O. FEES WP ADOD This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON r�